The use of the trellis-6 thrombectomy device in the management of acute limb ischemia due to native vessel occlusion: Challenges, tips, and limitations

Authors

  • Brendan Daly MD,

    1. The University of California San Diego Department of Medicine, Division of Cardiology, San Diego, California
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  • Mitul Patel MD,

    1. The University of California San Diego Department of Medicine, Division of Cardiology, San Diego, California
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  • Anand Prasad MD, FACC, FSCAI

    Corresponding author
    1. The University of California San Diego Department of Medicine, Division of Cardiology, San Diego, California
    2. Department of Medicine, Division of Cardiology, The University of Texas Health Science Center at San Antonio, San Antonio, Texas
    • University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229
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  • Conflict of interest: Nothing to report.

Abstract

The role of endovascular therapy is expanding in the treatment of acute limb ischemia (ALI). In addition to catheter-based thrombolysis, there are multiple devices which allow for clot disruption and aspiration. The Trellis catheter system provides mechanical agitation of thrombus coupled with chemical thrombolysis. We present two cases of native arterial occlusions in which the Trellis catheter was used for thrombolysis. Procedural tips and challenges associated with the use of this device in native vessels are discussed. © 2012 Wiley Periodicals, Inc.

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